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NIKKI BANGGO CHAN
NPI 1053101402
Student in an Organized Health Care Education/Training Program in Corvallis, OR

Active since May 08, 2025
1601 SW JEFFERSON AVE, CORVALLIS, OR 97331(541) 737-3424 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nikki Banggo Chan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKKI BANGGO CHAN (NPI 1053101402) is an individual student in an organized health care education/training program in Corvallis, Oregon, licensed in Oregon (PI-00144) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1053101402
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNIKKI BANGGO CHAN
Location Address1601 SW JEFFERSON AVECorvallis, OR 97331-8656
Mailing Address1601 Sw Jefferson AveCorvallis, OR 97331-8656
Phone(541) 737-3424
Sole ProprietorYes
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1053101402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OR · PI-00144
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1601 SW JEFFERSON AVE, Corvallis, OR 97331
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSE XUAN LIECHTY
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424
LAURYN TAYLOR FELLER
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424
TRISTAN MCKIBBEN
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424
CINDY TRAN
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE, 203 PHARMACY BUILDING
CORVALLIS, OR 97331
Benton County (541) 737-3424
ALLISON ELAINE SZEKULA
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424
VALERIA RAMIREZ GARIBAY
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424
ANNA EDWARDS
Pharmacist
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424
MOLLY LEIGH BROWN
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nikki Chan's NPI number?

The NPI number for Nikki Chan is 1053101402. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Nikki Chan located?

Nikki Chan practices at 1601 SW Jefferson Ave, Corvallis, OR 97331. The listed phone number is (541) 737-3424.

What is Nikki Chan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nikki Chan was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.